Individual provider Active NPI

Katrina Zlataric, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Barnhart, MO
National Provider Identifier
1407918386
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
141987 Issued in MO
Practice address
7141 Metropolitan Blvd Ste 103
Barnhart, MO 63012-2604
Phone
(636) 352-2346
Fax
(314) 690-4002
NPI assigned
Dec 15, 2006
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 141987 MO Primary
Registered Nurse 163W00000X 141987 MO

Addresses

Primary practice location

7141 Metropolitan Blvd Ste 103
Barnhart, MO 63012-2604

Mailing address

7141 Metropolitan Blvd Ste 103
Barnhart, MO 63012-2604
Phone (636) 352-2346

Other identifiers 2

IdentifierTypeStateIssuer
427230503MedicaidMO
141987OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000006 MO Practitioner - Nurse Practitioner 3779524194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KZ Psychiatric Services LLCGroup PAC ID 0143695106, 2 clinicians

Practice addresses (Care Compare)

7141 Metropolitan Blvd
Suite 103
Barnhart, MO 63012-2604
Phone (636) 352-2346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
141987MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Health LLC CurrentSince Oct 1, 2022 Accepting new patients
Advanced Psychiatric Services Inc CurrentSince Feb 1, 2005 Accepting new patients
KZ Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Mar 1, 2023 Accepting new patients
St. Louis Internal Medicine Inc PastSince Oct 1, 2022 Accepting new patients
Advanced Psychiatric Services Past Accepting new patients

Locations

7141 Metropolitan Blvd
Ste 103
Barnhart, MO 63012
Phone (314) 606-5562

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone 31459037210

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1407918386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 METROPOLITAN BLVD STE 103",
            "city": "BARNHART",
            "state": "MO",
            "postal_code": "630122604",
            "telephone_number": "636-352-2346",
            "fax_number": "314-690-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7141 METROPOLITAN BLVD STE 103",
            "city": "BARNHART",
            "state": "MO",
            "postal_code": "630122604",
            "telephone_number": "636-352-2346",
            "fax_number": "314-690-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZLATARIC",
        "first_name": "KATRINA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "141987",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "141987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427230503",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "141987",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnhart, MO

Sources for this page

Verify at the official NPI Registry.